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中药联合光疗治疗寻常型银屑病的临床疗效观察
Clinical Therapeutic Effect Observation of Treating Psoriasis Vulgaris with Traditional Chinese Medicine and Phototherapy

李云君,王飞,袁洪海,夏先斗,幸国大.中药联合光疗治疗寻常型银屑病的临床疗效观察[J].中国烧伤创疡杂志,2013,25(4):304~308.

DOI：

英文关键词:Traditional Chinese Medicine Narrow-band ultraviolet B Low intensity laser Psoriasis vulgaris Treatment

基金项目:

作者	单位
李云君	遂宁市中医院皮肤科
王飞	遂宁市第一人民医院中医康复科
袁洪海	遂宁市中医院皮肤科
夏先斗	遂宁市皮肤病研究所
幸国大	北京三顿医疗设备有限公司四川办事处

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中文摘要:

目的比较应用单纯中药和中药结合低强度窄谱中波紫外光(lowintensity narrow?band ultraviolet B,LUVB) 与低强度810nm半导体激光(lowintensity 810 nm diode laser irradiation,LIL) 对寻常型银屑病的临床疗效? 方法将2007年3月~2010年3月收治的186例寻常型银屑病患者随机分为治疗组(96例) 和对照组(90例), 分别采用中药结合LUVB与LIL和单纯应用中药治疗3个月, 观察? 对比两种方法的治疗效果? 结果治疗组, 痊愈39例(40.63%), 显效42例(43.75%), 有效13例(13.54%), 无效2例(2.09%), 总有效率97.91%; 对照组, 痊愈18 例(20.00%), 显效20 例(22.22%), 有效23 例(25.56%), 无效29 例(32.22%), 总有效率67.77%? 结论中药联合LUVB与LIL治疗寻常型银屑病的疗效优于单纯应用中药治疗,具有疗程短? 疗效确切? 治愈率高? 复发率低? 安全性好等优点, 适宜基层医院推广应用?

英文摘要:

Objective: To compare the clinical therapeutic effects of the simple traditional Chinese medicine (TCM) only and the TCM in combination with low intensity narrow-band ultraviolet B (LUVB) and low intensity 810nm diode laser irradiation (LIL) in the treatment of psoriasis vulgaris. Methods: A total of 186 patients with psoriasis vulgaris treated between March of 2007and March of 2010 were randomly divided into a treatment group (96 patients) and a control group (90 patients) to respectively receive the treatment of TCM in combination with LUVB and LIL and the treatment of TCM only for three months, and the therapeutic effects of the two treatments were observed and compared. Results: In the treatment group, 39 patients were cured (40.63 %), 42 patients showed very effective (43.75 %), 13 showed effective (13.54 %) and 2 showed ineffective (2.09 %), with a total effective rate of 97.91 %, while in the control group, 18 were cured (20.00 %), 20 showed very effective (22.22 %), 23 showed effective (25.56 %) and 29 showed ineffective (32.22 %), with a total effective rate of 67.77 %. Conclusion: TCM in combination with LUVB and LIL is superior to the treatment of TCM only in treating psoriasis vulgaris in that it has such advantages as shorter treatment course, definite therapeutic efficacy, higher curative rate, lower relapse rate, higher safety and etc. Thus, it is suitable to be popularized and applied in community-level hospitals.